| NPI | 1265731244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS RAPP Organizeer 318-445-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.09899R) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2023-04-24 |